Sara Miniaci-Coxhead, MD
Foot and Ankle Surgery · Cleveland, OHNPI 1336464908
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $123,033 of the $172,927 with a category attached, or 71.1%. Exactech, Inc. accounts for 75.4% of it on its own, with 15 other manufacturers making up the rest. 2025 is the largest year on record at $79,888, more than ten times the $4,310 reported in 2019. Among foot and ankle surgery clinicians in OH with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 163 payments — averaging $1060.90 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Exactech, Inc.$130K
- Arthrex$20K
- Advita Ortho, LLC$9K
- Rock Medical Orthopedics, Inc.$6K
- Zimmer Biomet$2K
- Ascension Orthopedics, Inc.$2K
- plus $3K from 10 others
What the payments were for
- Royalty or licence$2,3171%
- Consulting fees$123,03371%
- Speaking & faculty fees$17,77510%
- Travel & lodging$17,53310%
- Food & beverage$6,8954%
- Education$5,2793%
- Gifts$950%
General payments by program year
Who reported the general payments
Companies are grouped under their corporate parent — a single manufacturer often files under several CMS reporting entities. Research and ownership payments are counted separately and are not in this table.
| Company | Payments | Total |
|---|---|---|
| Exactech, Inc. | 90 | $130,459 |
| Arthrex | 19 | $19,648 |
| Advita Ortho, LLC | 6 | $9,203 |
| Rock Medical Orthopedics, Inc. | 7 | $5,673 |
| Zimmer Biomet | 9 | $2,317 |
| Ascension Orthopedics, Inc. | 4 | $2,250 |
| Paragon 28, Inc. | 1 | $1,121 |
| Nexus Medical Technologies LLC | 7 | $1,090 |
| Stryker(2 entities) | 5 | $517 |
| Integra Lifesciences Corporation | 6 | $202 |
| Treace Medical Concepts, Inc. | 3 | $121 |
| Amniox Medical, Inc. | 2 | $104 |
| Novastep Inc. | 1 | $90 |
| Smith+Nephew | 1 | $79 |
| Johnson & Johnson | 1 | $29 |
| Bioventus LLC | 1 | $24 |
What the payments were tied to
Products named in the reported payments. Only payments of $100 or more are attributed here — the typical reported payment nationally is a meal worth about $16, and listing those product-by-product would be noise.
- VANTAGE$125,119
- EQUINOXE$3,436
- SALTO TALARIS TOTAL ANKLE PROSTHESIS$2,250
- PANTA NAIL$2,250
- TOTAL FOOT SYSTEM$2,250
- CADENCE ANKLE REPLACEMENT SYSTEM$2,250
- EPIC FOOT PLATE SYSTEM$1,863
- DRAGONWING$1,263
- Portfolio$1,121
- Avitus Bone Harvester$981
- PROPHECY$173
- AUGMENT INJECTABLE$147
- DISTAL EXTREMITIES IMPLANTS TRAUMA ANKLE FRACTURE$124
How this compares
$172,927 in reported general payments places this provider in the 95th percentile of 429 foot and ankle surgery providers in Ohio.
Medicare billing
What this is not: this is the amount Original Medicare Part B allowed for services this provider billed in 2024. It is not their income. It excludes Medicare Advantage — now more than half of all Medicare enrollment — along with Medicaid and all commercial insurance, and it is gross practice revenue before staff, rent, supplies and malpractice premiums. CMS also suppresses any figure covering ten or fewer patients, so low-volume providers appear smaller than they are.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Meloxicam | 62 | $183 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 14 | $140 |
| Amoxicillin | 19 | $44 |
Paid to pharmacies, not to this prescriber.
Other foot and ankle surgery in Cleveland
- Christopher HyerWorthington$4.7M
- Thomas LeePickerington$4M
- Jordan GrossmanAkron$2.5M
- Robert GorslineHilliard$1.4M
- Jonathan FeibelGahanna$1.4M
- Mark PrisselWorthington$1.2M
- Lee HladGahanna$440K
- Windy ColeKent$431K
- Elizabeth HewittGrove City$414K
- Dominic RizzoBlue Ash$303K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.